Boxes Marked with an * Are Optional and Only Need to Be Completed If Known

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Boxes Marked with an * Are Optional and Only Need to Be Completed If Known

Position Request/Change Form

Boxes marked with an * are optional and only need to be completed if known. POSITION INFORMATION Position # Effective Dt Status Active Inactive (mm/dd/yy) (Psn) Current * Empl ID * Incumbe # NEW New Position JST Job Status Change HRD USE ONLY: JRG Job Re-Grade INA Position REO Re-Organization CSP Scope Chg In STA Psn Status Reason Elimination SPN Supernumerary Chg Company Change (Select One) DNC Dept Name Chg TTL Title Change FPR Faculty Promotion UPD Psn Data FTE Change XFR Transfer, Dept JRC Job Re- Update Classification XBU Transfer, Bus Business Unit JBSIFACL Job Share OFACLChange OSADM IADMN OADMN ISPPT Dept ID Dept Name Job Code of Psn Job Title of Acad F Std Psn Rank T Hrs Tenure Track W/O Term Permanent Seasonal Continuing (CDC Job Status of Psn Only) HRD USE Update Yes No Budgeted Yes No Max Hd Job Yes No O Psn Count Share GRADE Required for IFACL, OFACL, IADMN, OADMN, Grade Annual Comp Rate (Prorate based on FTE) If Change, Old Rate OSADM

Step Monthly Comp Rate (Prorate based on FTE) If Change, Old Rate STEP Required for ISPPT, OSPPT

FUNDING INFORMATION Transfer from: Fund (6) Orgn (4) Progra Activity Trsfr from Amount m (4) (5) Position # New Funding 1C Account * Indicate funding source in 1 * area below. Transfer from: Fund (6) Orgn (4) Progra Activity Trsfr from Amount m (4) (5) Position # 1C Account * Reallocation 1 *

REMARKS:

Request

Date Prepared by (Please print) Phone Department Head/Director

Date Prepared by (Please print) Phone Dean/Head of Administrative Unit

Position Information Approval

Date Human Resources

Funding Approval

Date Assoc. V.P. (Academic) - Faculty Only Date Budget Management

Revised Feb 05 JOB DATA (HRD use only) Job Psn Data Processed By: Date: JIF Required E Acti Rs Updated Ovr Yes No on n Yes On Attached PSN No Off Copy Sent to Dept: Yes Not Date: Copy Sent to Payroll: Yes Not Date: Required Required Commen ts:

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